The cell types are displayed as a t-SNE plot (left), while the population frequencies and their distribution among specimens are shown as bar charts (right). Scatter dot plot showing NK cell counts per area; statistical significance was determined by Mann–Whitney U test (2). Multiple blood samples were collected during tumor development and analyzed via flow cytometry. Additionally, the experiments showed that the initial effect triggered by sex hormones vanished within 24 h, which is why hormones presumably had no influence on the in vitro killing assays. Although we detected initial differences in NK cell activity following hormone stimulation, these effects dissipated within 24 hours in the presence of SU.86.86 and in the absence of hormones (Supplementary Figure S6A) and had no impact on the cytotoxic efficacy (Supplementary Figure S6B). Log2-fold changes in gene expression and statistical significance are depicted as a bubble plot below the heatmap. The Role of TRT in Long-Term Immune System Maintenance As men age, their bodies undergo various changes, including a decline in testosterone levels.... By replenishing testosterone levels, TRT offers men a comprehensive approach to improving their overall health and well-being. Moreover, it enhances the cytotoxic activity of these cells, making them more effective in identifying and destroying abnormal cells. Imaging was performed in five independent runs, each including two samples processed in parallel (one female and one male). Log2 fold-changes in gene expression and their respective adjusted p-values (DESeq2) were used for gene ranking before GSEA was conducted52,53using the GSEA software (V4.3.2) and MSigDB (V2025.1Mm). Total RNA from cell experiments or allograft tumors was isolated by TriZOL® (Thermo Fisher Scientific) according to the manufacturer’s instructions.47 For allograft tumors, the tissue was dispersed using an Ultra Turrax (IKA®). RNA from positively sorted NK cells was extracted using Dynabeads™ Oligo(dT)25 RNA isolation kit (Thermo Fisher Scientific) according to the manufacturer’s instructions. Mouse primary NK cells were identified as CD45+CD3-NK1.1+, NK-92 cells as CD45+, and MFI values were assessed for every antibody. Target cells were excluded by scatter, GFP fluorescence, and lack of CD45. Surface staining of primary mouse NK cells and allograft blood samples included CD45, NK1.1, CD3, NCR1, NKG2D, CD11b, CD27, and PI.44 Surface staining of human NK-92 cells included Fc receptor block (Miltenyi Biotec), CD45, NKp30, NKp44, NKp46, NKG2D, NKG2A, and DAPI. We have recently shown that NKT cells are critically important for the control of ALA and that an E. Moreover, 90% of abscesses of testosterone treated mice contained viable E. Tetramer positive, CD4+ or tetramer positive, CD4− NKT cells were sorted by fluorescence activated cell sorting (BD-FACS-Aria) and added at a cell density of 3×104 to 1×104 gender matched APCs previously pulsed with αGalCer or EhLPPG as described above. The cells were cultured in triplicates in 96-well round bottom plates with RPMI-20 medium supplemented with 200 mM L-glutamine, 50 µg gentamicin, 10% fetal calf serum, 1 mM sodium pyruvate and, 50 µM 2-mercaptoethanol. Purified T cells (1×105) were added to gender matched APCs (5×104) previously pulsed with 4 µg/ml αGalCer and 8 µg/ml EhLPPG for 3 h. The maturity of the bone marrow derived dendritic cells (BMDCs) was determined by FACS analysis using APC- labelled anti- CD11c, FITC- labelled anti - CD40-FITC and PE- labelled anti - CD86 and anti - CD80 (BD Bioscience). Cultures were supplemented with supernatants from Ag8653 myeloma cells transfected with the gene coding for murine GM-CSF . Following 24 h exposure to NK cells, 50 μl of cell culture media from this mixed culture was transferred into a new clear, untreated 96-well plate (the assay plate). Briefly, EnzS1-C4-2 or EnzR1-C4-2 cells that have been treated with high dose DHT for 48 h were seeded into 96-well plates (the sample plate) at a density of 7500 cells/well. NK cells cytotoxicity against CRPC cells was analyzed using a lactate dehydrogenase (LDH) assay as described by Simon Kaja . After co-culture for 36 h, the NK cells were removed from the culture wells by washing twice with 1 × PBS. Then the treated cells were plated at a density of 1.5 × 104 per well on 24-well plates. 0.5–1 × 106 cultured cells were collected with cell scrapers and resuspended in 100 µL incubation buffer (0.25 g bovine serum albumin in 50 mL 1 × PBS) with 20 µL of FITC-conjugated mouse anti-human primary PD-L1 monoclonal antibody (BD Pharmingen, P/N ) for 1 h at room temperature. NK-92MI cells (ATCC, Manassas, VA) were maintained in α-MEM (Invitrogen, Grand Island, NY) with 0.2 mM inositol, 0.1 mM 2-mercaptoethanol, 0.02 mM folic acid, FBS to a final concentration of 12.5% and horse serum to a final concentration of 12.5% based on ATCC guidelines. GCs mediate their effects by binding to GC receptors, which are ubiquitously expressed by almost all cells. NK cells are part of a larger group of innate lymphocytes, commonly referred to as innate lymphoid cells (ILCs).30 While NK cells are cytotoxic effector cells, other ILCs, such as the subgroups ILC1, ILC2, and ILC3, have a helper function by producing different cytokines. Both killing mechanisms seem to be differentially used during the serial killing activity of NK cells, by which they can eliminate several target cells in a serial fashion.26 For this activity, close contact between the two cells is necessary, which is often referred to as the immunological synapse.22 To form this contact, adhesion receptors such as integrins are essential. Via a variety of activating and inhibitory surface receptors,21 NK cells can interact with infected or transformed cells and mediate cellular cytotoxicity. These activities can be stimulated by different surface receptors.20 Via cytokine receptors, NK cells can respond to cytokines that are produced during the early phases of an infection, such as type I interferon, IL-12, and IL-18. Exogenous androgen administration to female mice or gonadectomy of male mice resulted in better response to the LMCV, however, neither resulted in the alteration of the DC population in terms of quantity or activation (78). After entering its target cells, testosterone is converted to the most biological active form of androgens, dihydrotestosterone (DHT) by the enzyme 5α-reductase in most of the male reproductive organs. Finally, we will discuss what is known about the impact of male sex and androgens on the efficacy of different immune therapies in mice and humans. In this review, we will discuss how androgens and the AR influence immune cells and cancer incidence and progression. However, castration of male mice four weeks prior to tumor inoculation resulted in increased tumor burden (Fig. 1e, f) and impaired survival (Fig. 1g). Taken together, these data illuminate the role of androgen signaling in neutrophil function, and the potential impact of this effect on cancer progression. Similarly, androgen signaling has also been shown to play an important role in both innate and adaptive immune processes, including macrophage activation during wound healing, T and B cell development, and neutrophil production17. However, deprivation of androgen signaling, has not always led to convincing beneficial effects in patients except for prostate cancer, therefore, future studies are warranted to determine specific mechanisms taking place and identify better treatment strategies. AR signaling has been shown to directly and indirectly affect many immune cells types from innate and adaptive immunity. Altogether, the combination of ADT and immune therapy could open interesting therapeutic options especially in patients with androgen/AR-dependent cancers.